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t.5 1013 <br />BACKWA,rER VALVF, AUTHORIZATION <br />..`i�t r <br />I. Permission to Inspect. The Owner grants permission to the City and its conlractor%0RKs' <br />inspect the plumbing and drainage of the Owner's property for the purpose of gathering <br />information regarding whether a backwater valve should be installed. The City and <br />Owner will cooperate to determine a mutually agreeable lime for the inspection. The <br />inspection is at the City's sole cost. <br />2. Backwater Valve. <br />A. City Review of inspection and permission to Install Backwater Valve. The City <br />will review the results of the inspection and will determine whether a backwater <br />valve should be installed. By signing this authorization, the Owner grants the <br />City and its contractor permission to install the backwater valve if the City <br />determines that n backwater valve should be installed. This instillation is at the <br />City's sole cost. <br />B. Other Devices. There may be other devices that provide as good us (or greater) <br />protection than a backwater valve. By signing this authorization, the Owner <br />grants die City and its contractor permission to install the other device if the City <br />determines that it should be installed. This installation is at the City's sole cost. <br />However, if the Owner desires installation of the other device, but the City has <br />determined to only install a backwater valve, then the Owner may install the other <br />device, and the City will reimburse the Owner up to the installation cost of the <br />l nckwater valve. <br />C. Future Mainlcumrce. Upon installation, the backwater valve or other device is the <br />Owncr's property. 'file Owner is exclusively responsible to maintain it. <br />3. Other Recommended inrprovcnrcnts. After the completion of the inspection, the City <br />may provide the Owner with a list of other recommended improvements to the property's <br />plumbing and drainage systems. The Owner is responsible for determining whether to <br />implement the recommendations on the list and far paying for the implementation. <br />OWNER: <br />41 .x tit l' Le r sa ' 3 eL�i �.et <br />Signature: <br />481mturc: <br />r <br />Printed Name: IPrinted Name: <br />Printed Address: <br />